Clinical Implications of a Reduction in Psychological Distress on Cardiac Prognosis in Patients Participating in a Psychosocial Intervention Program

Bibliographic Data

ID19304605
AuthorsSylvie Cossette (0000-0001-5840-9122, Montreal Heart Institute), Nancy Frasure-Smith, Nancy Frasure‐Smith (Montreal Heart Institute), François Lespérance (Montreal Heart Institute)
Year2001
Volume63
Issue2
Pages257-266
Publication date2001-03-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenuePsychosomatic Medicine (JOURNAL)
Journal identifiersISSN: 0033-3174 • E-ISSN: 1534-7796
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00006842-200103000-00009
PMID11292273
OpenAlexW2327339718
LanguageEN
Citations received15
References cited22

OBJECTIVE: The objective of this secondary analysis was to examine the relationships between a reduction in psychological distress and long-term cardiac and psychological outcomes in post-myocardial infarction patients who participated in a randomized trial of home-based psychosocial nursing interventions (the Montreal Heart Attack Readjustment Trial [M-HART]). Gender differences were considered. METHODS: We studied 433 patients (36.0% women) from the M-HART treatment group who received two home visits after achieving a high psychological distress score (ie, > or =5) on the General Health Questionnaire (GHQ). Short-term GHQ success was determined by a return to a normal GHQ score ( or =50% after the two visits. Patients with short-term successful and unsuccessful GHQ outcomes were compared for mid-term maintenance of success, 1-year death and readmission rates, and 1-year depression and anxiety symptoms. RESULTS: Patients with short-term GHQ success were more likely to show mid-term GHQ success (p < .001), marginally less likely to die of any causes (p = .087), less likely to die of cardiac causes (p = .043), less likely to be readmitted for any reason (p < .001) and for cardiac reasons (p < .001), and less likely to have high depression (p < .001) and anxiety (p < .001) at 1-year than patients with short-term unsuccessful GHQ outcomes. Results held for men and women and were not altered by controlling for potential confounders. However, the number of deaths prevented analysis with statistical controls. CONCLUSIONS: Post-myocardial infarction interventions that reduce psychological distress have the potential to improve long-term prognosis and psychological status for both men and women

Anxiety · Depression (economics) · Distress · General Health Questionnaire · Myocardial infarction · Physical therapy · Psychiatry · Psychological intervention · Psychosocial · Randomized controlled trial · Cardiac Health and Mental Health · Clinical Psychology · Family and Patient Care in Intensive Care Units · Internal Medicine · Medicine · Mental Health Treatment and Access

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